NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1457703100 | BRYANT | JOSHUA | TIMOTHY |   | 90 JACKSON PIKE | GALLIPOLIS | OH | 456311560 |
1629558804 | BUTCHER | ELIZABETH | NICOLE |   | 90 JACKSON PIKE | GALLIPOLIS | OH | 456311560 |
1013969021 | CRUM | JOSEPH | D. |   | 90 JACKSON PIKE | GALLIPOLIS | OH | 456311560 |
1245283621 | FISHER | GLENN | A. |   | 90 JACKSON PIKE | GALLIPOLIS | OH | 456311560 |
1861446395 | KNIGHT | JOHN | P. |   | 90 JACKSON PIKE | GALLIPOLIS | OH | 456311560 |